Scribd
Upload
16 views1 page

IGC Booking Form

The document is a course enrollment form for a training program, requiring personal details such as name, date of birth, and contact information. It outlines cancellation policies and fees associated with course registration, as well as the rights of HSSE Solutions LTD regarding course modifications. The form must be completed in capital letters and returned with payment to secure enrollment.

Uploaded by

syhryasins
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
16 views1 page

IGC Booking Form

The document is a course enrollment form for a training program, requiring personal details such as name, date of birth, and contact information. It outlines cancellation policies and fees associated with course registration, as well as the rights of HSSE Solutions LTD regarding course modifications. The form must be completed in capital letters and returned with payment to secure enrollment.

Uploaded by

syhryasins
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Form No.

06
Copy No. Uncontrolled

Course Enrollment Issue date


Originator
Revised by
Jan, 8th, 2016
Administrator
Tech Exec TL
Approved By Dr. Yassin Darwish

Please send back completed form with your payment:

PLEASE USE CAPITAL LETTERS THROUGHOUT


Training Date:
Training Title:
Location :
Exam only Option (for Paper 1 Paper 2
IGC re-sits only)
Nebosh IGC Assessment 1 Assessment 2
Name: (as it appears on your ID photo / passport) – (Family Name,
Given Names):
Noman Arshad
Date of Birth (dd/mm/yy): 25/12/1997
Gender and Nationality Male and Pakistani
Permanent Private Address:
House # 07, St. # 01 ghosia colony, Rahim Yar Khan, Pakistan
Private phone No.: +92 318 6524605
Cellular phone No.: +92 307 3823900
Email Address: [email protected]
Second address: | [email protected]
Company Name:
Contact Name:
Telephone No.: Fax No.
Email Address:
Invoice Address
(if different from the above):
Do you have any learning difficulty? No
Do you have any disability? No
Items in yellow are mandatory to record data in
PLEASE READ CAREFULLY:

All cancellations must be in writing and cancellation fees shall apply:


cancellations made 4 weeks prior to the course start date shall be
charged 50 USA Dollars as administration fee; 50% of the total fees for
cancellations made 2 to 3 weeks before the start of the course; 100%
of the total fees if less than 2 weeks before the course start date. HSSE
Solutions LTD reserves the right to cancel the event in case of
insufficient registration or illness of lecturers. HSSE Solutions LTD
office will ensure maximum possible notice is given to the attendees
and reserves the right to substitute lecturers and modify the course
details as required. In case of need to postponement the course I
agree to pay the difference of the announced fee by HSSE Solution.
I hereby acknowledge the above information and agree about.

 You can visit Nebosh website through the below link


https://www.nebosh.org.uk/home/

Learner Signature:__________________________

Egypt, Cairo, 65 Hassan El Sherif, El manhal, 8th, district, Naser City, Cairo, Egypt
Tel: +201000072148 / +201220800254
[email protected]
www.hsse-ltd.com

You might also like